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International Journal of Ophthalmology(English edition) 2022年第8期15卷 1266-1272页

作者： Daniel M.Handzel Carsten H.Meyer Alfred Wegener Augenaerzte im Altstadt-Carree Fulda 36037Germany University Eye Hospital Philipps-UniversitätMarburg 35032Germany University Eye Hospital Rheinische Friedrich-WilhelmsUniveritätBonn 53124Germany

AIM:To explore the possibility of deploying three contactless devices(static and rotating Scheimpflug technology,spectral domain optical coherence tomography)for measuring central corneal thickness(CCT)in preoperative and postoperative examinations of cataract ***:Totally 72 patients who had undergone surgery without complications were *** CCT was measured prior to the operation,as well as on the first,5th-7th and 28th day following the operation using the Nidek NT 530-P,Sirius?,and Topcon OCT-2000 ***:A significant postoperative increase and subsequent decrease in CCT was identified with all three *** correlations were highly significant and thus reflect a very good degree of comparability at all times with the exception of the rotating Scheimpflug *** postoperative results from the latter differed significantly from the other *** correlations were Sirius/Topcon(P=0.010)and Sirius/Nidek(P<0.0005).No statistically significant difference could be identified in the comparison between Topcon and Nidek(P=0.056).CONCLUSION:All three devices are suitable for postoperative monitoring of *** measurement results are only comparable to a limited extent and not interchangeable in the course of treating a single *** is due to the different imaging technology used in the devices and the resulting modalities for conducting the measurements.

关键词： cataract surgery pachymetry corneal thickness Scheimpflug imaging optical coherence tomography

Repeatability of 3D OCT pachymetry in Eyes with and without Contact Lens Induced Corneal Swelling

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Advances in Computed Tomography 2013年第2期2卷 63-67页

作者： Victoria de Juan Ana B. Cisneros Raul Martin Cervantes Eye Clinic Valladolid Spain Optometry Research Group IOBA-Eye Institute University of Valladolid Valladolid Spain Optometry Research Group IOBA-Eye Institute University of Valladolid Valladolid Spain Department of Physics & Optics School of Optometry University of Valladolid Valladolid Spain

Introduction: Corneal thickness measurement is an indirect assessment of the physiological corneal function in human eye. This value, especially in the central area, is an important data for clinical diagnosis, treatment and monitoring of anterior segment pathologies. There are several technologies for non-invasively measuring corneal thickness like optical coherence tomography (OCT). However, there is little information available describing the effect of contact lens induced corneal swelling in OCT measures. The purpose of this study was to evaluate the repeatability of OCT corneal pachymetry in eyes with and without contact lens induced corneal swelling. Material and Methods: This study included five visits over one week in six healthy subjects: baseline and after sleeping with four different CL of +0.50 D, +2.00 D, +5.00 D and +8.00 D (Acuvue 2, Johnson & Johnson Vision Care) on four different days. Corneal pachymetry OCT 3D (Topcon) were measured three consecutive times during each visit. Besides, this measurement was repeated in 12 meridians (Scans #1 to #12), between 0°and 165°with 15° intervals. Results: Corneal pachymetry was significant different between before and after contact lens wear (p < 0.001 ANOVA). High repeatability was found without corneal swelling [Coefficient of variation (CV) = 0.68% p = 0.93] and with corneal swelling [CL -0.50 D (CV = 0.78% p = 0.95;590 ± 46 μm CI 95% 548 to 596), with CL + 2.00 D (CV = 0.72% p = 0.97;601 ± 46 μm CI 95% 595 to 607), with CL + 5.00 D (CV = 0.78% p = 0.66;608 ± 50 μm CI 95% 601 to 615) and with CL + 8.00 D (CV = 0.77% p = 0.97;607 ± 44 μm CI 95% 601 to 613)]. There were no differences (p = 1.00) in central corneal thickness along the 12 scans corneal [Scan #0 (593 ± 50 μm CI 95% 582 to 603), #1 (592 ± 50 μm CI 95% 581 to 603), #2 (591 ± 50 μm IC 95% 580 to 602), #3 (590 ± 49 μm CI 95% 579 to 600), #4 (590 ± 50 μm CI 95% 579 to 600), #5 (591 ± 50 μm CI 95% 581 to 602), #6 (590 ± 51 μm CI 95% 580 to 601), #7 (5

关键词： Optical Coherence Tomography Corneal Swelling Contact Lenses Corneal pachymetry

Short and long term corneal biomechanical analysis after overnight orthokeratology

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International Journal of Ophthalmology(English edition) 2022年第7期15卷 1128-1134页

作者： Amelia Nieto-Bona Paloma Porras-Ángel Adela Elena Ayllón-Gordillo Gonzalo Carracedo David P Piñero Department of Optometry&Vision Optics and Optometry FacultyComplutense University of MadridMadrid 28037Spain Department of Optics Pharmacology and AnatomyUniversity of AlicanteAlicante 03690Spain

AIM: To investigate the short and long term corneal biomechanical changes after overnight orthokeratology(OK) and compare them with those occurring in subjects not wearing contact ***: Retrospective case control study enrolling 54 subjects that were divided into three groups 18 subjects each: control group(CG), short term(15 nights) OK(STOK) group, and long term(more than 1 y of OK wear) OK(LTOK) group. Corneal biomechanics were characterized using the Cor Vis? ST system(Oculus), recording parameters such as time [first/second applanation time(AT1, AT2)], speed [velocity of corneal apex at the first/second applanation time(AV1, AV2)], and amplitude of deformation(AD1, AD2) in the first and second corneal flattening, corneal stiffness(SPA1), biomechanically corrected intraocular pressure(b IOP) and corneal(CBI) and tomographic biomechanical indices(TBI).RESULTS: Significantly lower AD1 and standard deviate on of Ambrosio’s relational average thickness related to the horizontal profile(ARTh) values were found in the OK groups compared to CG(P<0.05). Likewise, significantly higher values of CBI were found in STOK and LTOK groups compared to CG(P<0.01). No significant differences between groups were found in integrated radius index(P=0.24), strain stress index(P=0.22), tomographic biomechanical index(P=0.91) and corneal stif fness parameter(SPA1, P=0.97). Significant inverse correlations were found between corneal thickness and CBI in STOK(r=-0.90, P<0.01) and LTOK groups(r=-0.71, P<0.01).CONCLUSION: OK does not seem to alter significantly the corneal biomechanical properties, but special care should be taken when analyzing biomechanical parameters influenced by corneal thickness such as amplitude of deformation, ARTh or CBI, because they change significantly after treatment but mainly due to the reduction and pachymetric progression induced by the corneal molding secondary to OK treatment.

关键词： overnight orthokeratology corneal biomechanics pachymetry corneal biomechanical index CorVis?ST tomographic biomechanical index

Eye rubbing-induced changes in intraocular pressure and corneal thickness measured at five locations, in subjects with ocular allergy

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International Journal of Ophthalmology(English edition) 2015年第1期8卷 81-88页

作者： Uchechukwu L.Osuagwu Saud A.Alanazi Visual and Ophthalmic Optics Group (Chronic Disease&Ageing Domain) Institute of Health&Biomedical InnovationSchool of Optometry&Vision SciencesQueensland University of Technology Department of Optometry & Vision Sciences College of Applied Medical Sciences King Saud University

AIM: To assess the effects of eye rubbing on corneal thickness(CT) and intraocular pressure(IOP)measurements obtained 0-30 min after habitual eye rubbing in symptomatic ***: Measurements of IOP and CT were obtained at five locations(central, temporal, superior,nasal and inferior) before, and every 5min for 30 min interval after 30 s of eye rubbing, for 25 randomly selected eyes of 14 subjects with ocular allergy and 11age-matched normals. Differences in measurements were calculated in each group [Baseline measurements minus measurements recorded at each time interval after eye rubbing(for IOP), and for each corneal location(for CT)]and comparison were then made between groups(allergic versus control) for differences in any observed ***: Within groups, baseline mean IOPs in the allergic patient-group(14.2 ±3.0 mm Hg) and in the control group(13.1±1.9 mm Hg) were similar at all times,after eye rubbing(P >0.05, for all). The maximum reduction in IOP was 0.8 mm Hg in the control subjects and the maximum increase was also 0.8 mm Hg in the allergic subjects. Between groups(allergic versus control), the changes in IOP remained under 1 mm Hg at all times(P =0.2) after 30 min of eye rubbing. Between 0and 30 min of CT measurements after eye rubbing, the mean central CT(CCT), inferior CT(ICT), superior CT(SCT), temporal CT(TCT) and nasal CT(NCT) did not vary significantly from baseline values in the control and allergic-subject groups(P >0.05, for both). Between both groups, changes in CT were similar at all locations(P >0.05)except for the TC which was minimally thinner by about4.4 μm(P =0.001) in the allergic subjects than in the control subjects, 30 min following 30 s of eye ***: IOP measured in allergic subjects after30 s of habitual eye rubbing was comparable with that obtained in normal subjects at all times between 0 and30 min. Although, CT in the allergic subjects were similar to those of the control subjects at all time

关键词： allergy corneal thickness intraocular pressure eye rubbing tonometry pachymetry

Rebound Tonometry in Cataract Surgery: Comparison with Goldmann Applanation Tonometry

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Open Journal of Ophthalmology 2018年第1期8卷 1-11页

作者： Chiara De Giacinto Rossella D’Aloisio Sara Trovarelli Agostino Accardo Odilla Vattovani Daniele Tognetto Department of Medicine Surgery and Health Sciences University of Trieste Trieste Italy Department of Industrial and Information Technology University of Trieste Trieste Italy

Purpose: to compare the rebound tonometer ICare? (RT) with the Goldmann applanation tonometer (GAT) in cataract surgery and to assess the influence of central corneal thickness (CCT) on intraocular pressure (IOP) measurements. Design: retrospective, comparative study. Methods: a total of 472 patients underwent IOP measurement using RT (time 0 = RTa). GAT IOP measurement was performed 5 minutes later, followed by a second RT IOP measurement after other 5 minutes (RTa + 10 min = RTb). CCT was obtained by ultrasound pachymetry. In 106 patients IOP was measured by means of RT and GAT before clear corneal cataract surgery (RT1 and GAT1) and at one day postoperatively (RT2 and GAT2). Results: RT IOP values > 5 mmHg were overestimated, while RT IOP values Conclusion: our results showed a good agreement between measurements obtained with RT and GAT in pre and postoperative cataract surgery, although a significant statistically difference was found between RT and GAT measurements performed postoperatively. Moreover, CCT is a parameter to be considered for the IOP measurement, especially for values obtained with RT.

关键词： Applanation Tonometer Cataract Surgery Intraocular Pressure pachymetry Rebound Tonometer

Anterior Segment Optical Coherence Tomography Indices and Their Value in Diagnosing Corneal Ectasia

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Open Journal of Ophthalmology 2021年第4期11卷 313-324页

作者： Angel Atanassov Marieta Konareva-Kostianeva Marin Atanassov Department of Ophthalmology Faculty of Medicine Medical University Plovdiv Bulgaria

Purpose: To determine the diagnostic value of the anterior segment optical coherence tomography (AS-OCT) indices in differentiating normal from ectatic corneas. Material and Methods: Two groups of patients—with corneal ectasia and normal controls were compared. Each group consists of 80 eyes of 43 age and sex-matched patients. All of them underwent corneal topography with OCULUS Keratograph 5M and corneal pachymetry with AS-OCT with RTVue-100. The indices generated by the AS-OCT pachymetric scans were analyzed. Results: There was a statistically significant difference for all the examined indices between the two groups with p values Conclusion: The anterior segment OCT indices showed excellent capability in differentiating ectatic from normal corneas.

关键词： Keratoconus Corneal Ectasia Marginal Pellucid Degeneration Anterior Segment OCT pachymetry

Determination of Central Corneal Thickness in Patients with Refractive Anomalies and Emmetropy

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Open Journal of Ophthalmology 2019年第2期9卷 35-46页

作者： Mimoza Ismaili Gazmend Kacaniku Kelmend Spahiu Gentian Hoxha Наташа Накева-Jаневска Весна Димовска-Jорданова Department of Ophthalmology Faculty of MedicineUniversity Clinical Center of KosovoPristinaRepublic of Kosovo Republic of Macedonia University“Saints Cyril and Methodius” SkopjeRepublic of Macedonia

Aim: The purpose of this study was to compare measurements of CCT in emmetropia and patient with refractive anomalies. Methods: We represent a retrospective research which was conducted at the University Clinical Center of Kosovo (UCCK). In this study were included 80 patients, divided into two groups: test and a control group. Mean age was (M = 25.90, DS = 7.16), men (N = 41% or 51.3%) and women (N = 39% or 48%). Results: Results show that there were no differences in the CCT, Hyperopic (M = 545.21 DS = 52.24), Myopic (M = 547.90 DS = 47.93) and Emmetropic (M = 550.75 DS = 41.29). After measuring of the longitudinal axis and analyzing the data by means of Anova test, it appeared to be a significant difference between the analyzed groups, Hyperopic (M = 21.99, DS = 1.27), Myopics (M = 23.21, DS = 1.24), Emmetropic (M = 22.36, DS = 0.81). Results also revealed that there is correlation between the CCT and IOP, where increase CCT decreases IOP and vice versa (r = -0.26, p = 0.01). Conclusion: The results have shown that CCT is thinner in myopic but does not show correlation with hypermetropic and emmetropic. While during the measurement of central corneal thickness and eye tension it is found that there is a negative correlation between them. Keratometry has a negative correlation with CCT. While there was no correlation between CCT and age. Given the role of CCT in interpreting IOP values, it is recommended to perform a systematic CCT measurement in routine clinical practice, which would assist in the diagnosis of ocular hypertension.

关键词： Corneal Thickness Goldman Method Keratometry pachymetry

Evaluation of corneal parameter changes under different accommodative stimuli with Scheimpflug imaging-based tomography

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国际眼科杂志 2024年第9期24卷 1357-1366页

作者： Farid J Bedrán-García David P Piñero Department of Optics Pharmacology and AnatomyUniversity of AlicanteAlicante 03690Spain

AIM:To evaluate the reliability of measurements of corneal changes with accommodation in healthy eyes using a Scheimpflug imaging-based system and how these measurements distribute in the normal ***:Prospective,non-randomized,comparative study including 27 healthy subjects(54 eyes),including emmetropia(13 eyes),myopia(17 eyes),hyperopia(4 eyes)and astigmatism(20 eyes)*** all cases,a complete eye examination was performed,including the analysis of corneal changes with different accommodative stimuli(+2.00,0.00 and-3.00 D)using the Pentacam AXL *** investigation was structured in 2 phases:repeatability analysis and characterization of accommodation-related corneal changes in healthy ***:In the repeatability analysis,the index of height asymmetry(IHA)showed the greatest variability with the three accommodative stimuli,being the results for the rest of parameters *** group of emmetropes showed significant differences with accommodative changes in the position of maximum keratometry(Kmax;P<0.05),whereas in the astigmatism group,significant changes were not only observed in the position of Kmax,but also in minimum corneal thickness(MCT),corneal spherical aberration,and total and low order aberration root mean square(all P<0.05).Likewise,a significant difference was found in the displacement of the X position of Kmax with+2.00 D and-3.00 D in the myopia group(P=0.033)as well as in changes with+2.00 D and-3.00 D in the magnitude of the position vector of Kmax in the emmetropia group(P<0.05).No significant changes were found between accommodative stimuli in the displacement of coordinates of MCT(P≥0.109).CONCLUSION:The position of Kmax and MCT in healthy corneas can change significantly when presenting different accommodative stimuli using the accommodation mode of the Pentacam system,with different trends in these accommodation-related corneal changes between refractive ***,the consistency of the measurement

关键词： corneal biomechanics keratometry corneal thickness pachymetry corneal aberrations Pentacam accommodation